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Student Support Requests for Special Populations Students
Connections Academy schools' staff should use this form to submit requests for accessibility & assistive technology. Please see the "Service Request Type" field for additional options.
Staff First name
Please enter your first name (the person who is submitting the request).
Staff Last name
Please enter your first name (the person who is submitting the request).
Staff Connections Academy Email
Please enter your e-mail address (this will be used to send email notification regarding the status of the ticket).
School Name
Please Select
Alabama Connections Academy (ALCA)
Arizona Connections Academy (ACA)
Arkansas Connections Academy (ARCA)
Coastal Connections Academy (CoastalCA)
Colorado Connections Academy (ColoCA)
Florida Connections Academy (FCA)
Georgia Connections Academy (GACA)
Great Lakes Connections Acadmey (GLLA)
Great River Connections Academy (GRCA)
Indiana Connections Academy (INCA)
Indiana Connections Career Academy (INCC)
Inspire Connections Academy (Inspire)
Iowa Connections Academy (IACA) *
Kansas Connections Academy (KCA)
Lafayette Connections Academy (LafCA)
Lighthouse Connections Academy (LCA)
Low Country Connections Academy (LCCA)
Maine Connections Academy (MCA)
Michigan Connections Academy (MICA) *
Minnesota Connections Academy (MNCA)
Missouri Connections Academy (MOCA)
Missouri Connections Academy Louisiana (MOCAL)
Multiple School Locations - Admin Roles Only (Must list schools in Comment box)
Nevada Connections Academy (NCA)
New Mexico Connections Academy (NMCA) *
Ohio Connections Academy (OCA)
Oklahoma Connections Academy (OKCA)
Oregon Connections Academy (ORCAP)
Pecos Cyber Academy *
Pennwood Cyber Charter School
South Carolina Connections Academy (SCCA)
Springs Connections Academy
TECCA
Tennessee Connections Academy (TNCAJ)
Texas Connections Academy (TCAH) *
Utah Connections Academy (UCA)
Virginia Connections Academy (VACA)
Washington Connections Academy (WACA)
Williamette Connections Academy (WillCA)
Wyoming Connections Academy (WYCA)
Student ID
*
Please enter student ID associated with this request.
Service Request Type
*
Braille Curriculum Materials
Large Print Materials
Physical Course Materials
Software Request
Standard Hardware Request
Specialized Equipment (LINK REQUIRED)
Closed Captioning Request
American Sign Language Request
Written Translation
Oral Translation
Cancel ASL
Cancel Closed Captioning
Ticket name
*
Please include the Student ID, School Name, and Type of Request
Ticket description
*
Please include any additional information that would be helpful to have when processing this request.
Submit